99 research outputs found

    Effect of CO 2

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    A diverse Pleistocene marsupial trackway assemblage from the Victorian Volcanic Plains, Australia

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    A diverse assemblage of late Pleistocene marsupial trackways on a lake bed in south-western Victoria provides the first information relating to the gaits and morphology of several megafaunal species, and represents the most speciose and best preserved megafaunal footprint site in Australia. The 60-110 ka volcaniclastic lacustrine sedimentary rocks preserve trackways of the diprotodontid Diprotodon optatum, a macropodid (probably Protemnodon sp.) and a large vombatid (perhaps Ramsayia magna or '. Phascolomys' medius) and possible prints of the marsupial lion, Thylacoleo carnifex. The footprints were imprinted within a short time period, demonstrating the association of the taxa present, rather than the time-averaged accumulations usually observed in skeletal fossil deposits. Individual manus and pes prints are distinguishable in some trackways, and in many cases some digital pad morphology is also present. Several parameters traditionally used to differentiate ichnotaxa, including trackway gauge and the degree of print in-turning relative to the midline, are shown to be subject to significant intraspecific variation in marsupials. Sexual dimorphism in the trackway proportions of Diprotodon, and its potential for occurrence in all large bodied, quadrupedal marsupials, is identified here for the first time

    Subaortic stenosis in the spectrum of atrioventricular septal defects Solutions may be complex and palliative

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    AbstractFrom July 1982 through September 1994, 19 children had operative treatment of subaortic stenosis associated with an atrioventricular septal defect. Specific diagnosis were septum primum defects in 7, Rastelli type A defects in 6, transitional defects in 4, inlet ventricular septal defect with malattached chordae in 1, and tetralogy of Fallot with Rastelli type C defect in 1. Twenty-seven operations for subaortic stenosis were performed. Surgical treatment of the outlet lesion was performed at initial atrioventricular septal defect repair in 3 children and in the remaining 16 from 1.2 to 13.1 years (mean 4.9 years, median 3.9 years) after repair. Eighteen of the 19 children had fibrous resection and myectomy for relief of obstruction. Seven children had an associated left atrioventricular valve procedure. One child received an apicoaortic conduit. Seven children (36.8%) required 8 reoperations for previously treated subaortic stenosis. Time to the second procedure was 2.8 to 7.4 years (mean 4.9 years). Follow-up is 0.4 to 14.0 years (median 5.6 years). Six-year actuarial freedom from reoperation is 66% ±15%. The angle between the plane of the outlet septum and the plane of the septal crest was measured in 10 normal hearts (86.4 ±13.7) and 10 hearts with atrioventricular septal defects (22.2 ±26.0; p <0.01). The outflow tract can be effectively shortened, widened, and the angle increased toward normal by augmenting the left side of the superior bridging leaflet and performing a fibromyectomy. Conclusion: Standard fibromyectomy for subaortic stenosis in children with atrioventricular septal defects leads to a high rate of reoperation. Leaflet augmentation and fibromyectomy may decrease the likelihood of reoperation. (J THORAC CARDIOVASC SURG 1995;110:1534-42

    Gluttony, excess, and the fall of the planter class in the British Caribbean

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    Food and rituals around eating are a fundamental part of human existence. They can also be heavily politicized and socially significant. In the British Caribbean, white slaveholders were renowned for their hospitality towards one another and towards white visitors. This was no simple quirk of local character. Hospitality and sociability played a crucial role in binding the white minority together. This solidarity helped a small number of whites to dominate and control the enslaved majority. By the end of the eighteenth century, British metropolitan observers had an entrenched opinion of Caribbean whites as gluttons. Travelers reported on the sumptuous meals and excessive drinking of the planter class. Abolitionists associated these features of local society with the corrupting influences of slavery. Excessive consumption and lack of self-control were seen as symptoms of white creole failure. This article explores how local cuisine and white creole eating rituals developed as part of slave societies and examines the ways in which ideas about hospitality and gluttony fed into the debates over slavery that led to the dismantling of slavery and the fall of the planter class

    Psychiatric Day Hospitals for older adults -where have we been and where are we going now?

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    Considering the increasing use of mental health provision by older adults it is important to assess the efficacy of services that exist as well as identify the particular needs of this client group. This review aims to put psychiatric day hospitals for older adults into a context of current thinking on service provision. It introduces some of the reasons why they were established and the debates that have ensued about their continued use. It summarises existing knowledge about what it is that day hospitals provide and how this compares with social services day care. It also discusses appraisals and efficacy research in psychiatric day hospitals. The review considers some of the alternatives to day hospitals, which are mainly community based or intermediate care. It then discusses the possibility of day hospitals adapting their structure and how they operate. Overall there does seem to be agreement in the literature about the need for standardised evaluative measures for psychiatric day hospitals for older adults as well as guidance on service provision
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